DVBCWAW1.m

DVBCWAW1 ;ALB/CMM ARRHYTHMIAS WKS TEXT - 1 ; 5 MARCH 1997

 ;;2.7;AMIE;**12**;Apr 10, 1995

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    Comment on:

 ;;    1.  Syncope, Stokes-Adams attacks - frequency?, precipitating factors?

 ;;

 ;;

 ;;    2.  Other symptoms related to arrhythmia or its treatment.

 ;;

 ;;

 ;;    3.  Current treatment, response, side effects.

 ;;

 ;;

 ;;    4.  Describe the effects of the condition on the veteran's usual 

 ;;        occupation and daily activities.

 ;;

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

 ;;    Address each of the following and fully describe current findings:

 ;;    1.  Heart rate and rhythm.

 ;;

 ;;

 ;;    2.  If arrhythmia is paroxysmal, what is frequency?  Severity?  

 ;;        What are precipitating factors?

 ;;

 ;;

 ;;    3.  Pacemaker present?  If so, when inserted, effectiveness, side effects.

 ;;

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    1.  EKG.

 ;;    2.  Holter monitor, other tests as indicated.

 ;;    3.  Include results of all diagnostic and clinical tests conducted

 ;;        in the examination report.

 ;;

 ;;

 ;;E.  Diagnosis:

 ;;

 ;;

 ;;Signature:                             Date:

 ;;END

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCWAW1   1307     printed  Mar 13, 2025@20:54:31                                                                                                                                                                                                    Page 2

DVBCWAW1  ;ALB/CMM ARRHYTHMIAS WKS TEXT - 1 ; 5 MARCH 1997

 +1       ;;2.7;AMIE;**12**;Apr 10, 1995

 +2       ;

 +3       ;

TXT       ;

 +1       ;;A.  Review of Medical Records:

 +2       ;;

 +3       ;;

 +4       ;;B.  Medical History (Subjective Complaints):

 +5       ;;

 +6       ;;    Comment on:

 +7       ;;    1.  Syncope, Stokes-Adams attacks - frequency?, precipitating factors?

 +8       ;;

 +9       ;;

 +10      ;;    2.  Other symptoms related to arrhythmia or its treatment.

 +11      ;;

 +12      ;;

 +13      ;;    3.  Current treatment, response, side effects.

 +14      ;;

 +15      ;;

 +16      ;;    4.  Describe the effects of the condition on the veteran's usual 

 +17      ;;        occupation and daily activities.

 +18      ;;

 +19      ;;

 +20      ;;C.  Physical Examination (Objective Findings):

 +21      ;;

 +22      ;;    Address each of the following and fully describe current findings:

 +23      ;;    1.  Heart rate and rhythm.

 +24      ;;

 +25      ;;

 +26      ;;    2.  If arrhythmia is paroxysmal, what is frequency?  Severity?  

 +27      ;;        What are precipitating factors?

 +28      ;;

 +29      ;;

 +30      ;;    3.  Pacemaker present?  If so, when inserted, effectiveness, side effects.

 +31      ;;

 +32      ;;

 +33      ;;D.  Diagnostic and Clinical Tests:

 +34      ;;

 +35      ;;    1.  EKG.

 +36      ;;    2.  Holter monitor, other tests as indicated.

 +37      ;;    3.  Include results of all diagnostic and clinical tests conducted

 +38      ;;        in the examination report.

 +39      ;;

 +40      ;;

 +41      ;;E.  Diagnosis:

 +42      ;;

 +43      ;;

 +44      ;;Signature:                             Date:

 +45      ;;END